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General NPI Number Information
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NPI Number | 1356752414
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Entity Type | Organization
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Legal Business Name | LATITUDE COUNSELING, PLLC
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 10200 RICHMOND AVE SUITE 115
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City | HOUSTON
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State | TX
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Zip | 77042-4140
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Country | US
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Telephone | 787-466-5478
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Fax |
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Provider Business Mailing Address
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Address Line | 10777 RICHMOND AVE SUITE 307
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City | HOUSTON
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State | TX
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Zip | 77042-4914
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Country | US
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Telephone | 787-466-5478
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIVIAN D ECHEVARRIA GUZMAN
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Credential |
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Telephone | 787-466-5478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 67956
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License Number State | TX
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